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Updated: Jun 14, 2025
04:23
A Swin Transformer-Based Model for Thyroid Nodule Detection in Ultrasound Images
Published on: April 21, 2023
1.8K
Thyroid nodules and thyroid cancer in pregnancy
Sanja Medenica1,2, Durairaj Arjunan3, Violeta Mladenovic4
1Department of Endocrinology, Internal Medicine Clinic, Clinical Center of Montenegro, Podgorica, Montenegro.
Summary
Thyroid nodules (TN) can develop or grow during pregnancy. Management involves monitoring, with procedures like fine needle aspiration cytology (FNAC) and surgery typically delayed until after delivery.
Area of Science:
- Endocrinology
- Obstetrics
- Oncology
Background:
- Physiological changes during pregnancy increase thyroid gland size.
- Thyroid nodules (TN) develop or enlarge in 2-3% of pregnancies.
- Maternal age, parity, and iodine status influence TN development.
Purpose of the Study:
- To outline the management of thyroid nodules during pregnancy.
- To discuss the diagnosis and treatment of thyroid cancer in pregnant individuals.
- To highlight surveillance strategies for thyroid conditions in pregnancy.
Main Methods:
- Surveillance of TN in pregnancy mirrors general population guidelines.
- Fine needle aspiration cytology (FNAC) is deferred unless malignancy is suspected.
- Surgery is reserved for severe, rapidly growing, or suspicious nodules, typically in the second trimester.
Main Results:
- Papillary thyroid carcinoma (PTC) is the most common thyroid cancer in pregnancy.
- Thyroid cancer in pregnancy has a favorable prognosis with minimal impact on survival.
- Regular monitoring of TSH and thyroid ultrasound (TUS) is recommended.
Conclusions:
- Thyroid nodule management during pregnancy requires careful consideration of maternal and fetal well-being.
- Early detection and appropriate monitoring are crucial for favorable outcomes.
- Adherence to established guidelines ensures effective management of thyroid conditions in pregnancy.
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